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<br />1'~ <br /> <br />AFFIDA VIT OF CIRCULATOR <br /> <br />The undersigned, being of lawful age, who being first duly sworn up oath deposes and <br /> <br />says: <br /> <br />That (he or she) was the circulator of the foregoing Petition of Annexation of lands to the <br />City of Louisville, Colorado, consisting of l pages, including this page, and that each signature <br />thereon was witnessed by your affiant and is the true signature of the person whose name it <br />purposes to be. <br /> <br />l:k~~ - ~J.~ <br /> <br />Circulator <br /> <br />ACKNOWLEDGEMENT <br /> <br />ST A TE OF COLORADO <br /> <br />} SS <br /> <br />COUNTY OF _BOUr.,J)ER <br /> <br />I&~e above ~ing Affidavit of Circulator was subscribed and sworn to before me <br />this day of ,___ (j_ _ __ __, 1995. <br /> <br />Witness my hand and official seal. <br /> <br />---... <br />IJ""'~"~..."~". 4".. _. '_ <br />.4 ...11.-( ........" <br />() 7 0. . ". /i <br />My commission expires on:;;J7--i -'~ fA j ; ~(~,\~~,)~,;\~-' : <br />1 _ Jl :', ~ ~ (' fL" "h; ~. _ <br />- ( 1~~2~~k ,':--:' <br />Notary Public ./ <br />_l.l~_~u&fI7 c?;i.__ _ _ _ __ __ 0 ' ~,\~Y <br />Address <br />LtJ~(1h m-:( ~ d- . )/0 r-o / <br />-U_om ...H____________~__ <br /> <br />(Seal) <br /> <br />5 <br />